Economic Burden of Cardiovascular Diseases in Brazil: Are Telemedicine and Structured Telephone Support the Solution?
| Autor: | Pedro Paulo Magalhães Chrispim, Ary Ribeiro, Yang Ting Ju, Suzana A. Silva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Telemedicine
lcsh:Diseases of the circulatory (Cardiovascular) system Quality management Heart Diseases Doenças Cardiovasculares Quality Management MEDLINE Myocardial Infarction Custo-Efetividade Telemedicina/tendências Atrial Fibrillation Cardiovascular Diseases/economics Medicine Humans Políticas de Saúde health care economics and organizations Health policy Cost-Effectiveness-Evaluation Heart Failure Telephone/trends business.industry Health Policy Health Care Costs medicine.disease Telephone lcsh:RC666-701 Cardiovascular Diseases Hypertension Telemedicine/trends Original Article Medical emergency Telefone/tendências Short Editorial Gestão da Qualidade Cardiology and Cardiovascular Medicine business Brazil |
| Zdroj: | Arquivos Brasileiros de Cardiologia, Volume: 111, Issue: 1, Pages: 37-38, Published: JUL 2018 Arquivos Brasileiros de Cardiologia, Vol 111, Iss 1, Pp 37-38 Arquivos Brasileiros de Cardiologia |
| Popis: | Background Heart conditions impose physical, social, financial and health-related quality of life limitations on individuals in Brazil. Objectives This study assessed the economic burden of four main heart conditions in Brazil: hypertension, heart failure, myocardial infarction, and atrial fibrillation. In addition, the cost-effectiveness of telemedicine and structured telephone support for the management of heart failure was assessed. Methods A standard cost of illness framework was used to assess the costs associated with the four conditions in 2015. The analysis assessed the prevalence of the four conditions and, in the case of myocardial infarction, also its incidence. It further assessed the conditions’ associated expenditures on healthcare treatment, productivity losses from reduced employment, costs of providing formal and informal care, and lost wellbeing. The analysis was informed by a targeted literature review, data scan and modelling. All inputs and methods were validated by consulting 15 clinicians and other stakeholders in Brazil. The cost-effectiveness analysis was based on a meta-analysis and economic evaluation of post-discharge programs in patients with heart failure, assessed from the perspective of the Brazilian Unified Healthcare System (Sistema Unico de Saude). Results Myocardial infarction imposes the greatest financial cost (22.4 billion reais/6.9 billion USD), followed by heart failure (22.1 billion reais/6.8 billion USD), hypertension (8 billion reais/2.5 billion USD) and, finally, atrial fibrillation (3.9 billion reais/1.2 billion USD). Telemedicine and structured telephone support are cost-effective interventions for achieving improvements in the management of heart failure. Conclusions Heart conditions impose substantial loss of wellbeing and financial costs in Brazil and should be a public health priority. |
| Databáze: | OpenAIRE |
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